My cardiologist doesn't seem to fully understand LAA isolation January 08, 2022 05:01AM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 08, 2022 05:10AM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 08, 2022 05:45PM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 08, 2022 07:21PM |
Admin Registered: 7 years ago Posts: 5,554 |
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tobherd
Wasn't that incorrect advice to tell me that anticoagulation is safer than the Watchman, and that it doesn't keep me safer from having a stroke, Carey?
Re: My cardiologist doesn't seem to fully understand LAA isolation January 09, 2022 03:43AM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 09, 2022 05:15AM |
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tobherd
Just to clarify, she is supportive of the Watchman, but seems to be saying it's only worth getting it if i can get off of Eliquis. I would think once you get a Watchman (because you had a LAA isolation), you have just as much risk of a stroke as any other person in your age group who has no Afib history. Maybe that's what she meant...?
Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 04:20AM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 04:43AM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 05:01AM |
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walt
Not quite sure how to ask this but…..Is the stroke prevention benefits of being prescribed Eliquis etc designed to protect during AFib or also during periods when you are not in AFib? If I am not in AFib and off Eliquis am I still at a greater risk than average for a stroke?
Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 05:32PM |
Registered: 12 years ago Posts: 552 |
Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 06:59PM |
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tobherd
Susan D...why would you need to be on full strength Eliquis after getting a Watchman? Everything I'm reading indicates this is not the normal situation. My understanding is that when someone has been successfully ablated and Afib is no longer rearing it's head, you should have no reason for needing to be cardioverted. In my 10 years of having active and regular Afib, I only needed to be cardioverted once..and that was when i went into flutter.
Barb
Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 07:17PM |
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tobherd
Carey - if I'm a woman over 65, and had high blood pressure (well controlled now on a low dose of Atenolol), that would give me a Chad score of 3. That sounds like they would make me stay on a blood thinner.....is that right??
Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 07:44PM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 08:00PM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 10, 2022 10:23PM |
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tobherd
So is my Cardiologist comment, "if you have to stay on blood thinners, there's no point in getting a Watchman" right then?
Re: My cardiologist doesn't seem to fully understand LAA isolation January 11, 2022 05:05AM |
Registered: 5 years ago Posts: 150 |
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Carey
Not quite sure how to ask this but…..Is the stroke prevention benefits of being prescribed Eliquis etc designed to protect during AFib or also during periods when you are not in AFib? If I am not in AFib and off Eliquis am I still at a greater risk than average for a stroke?
The answer in general is it's designed to protect you whether you're in afib or not. Studies have shown that having afib presents a stroke risk even when you're not actively in afib. It's not hard to find examples of people having strokes despite not having had an afib episode for months.
The best tool we have for deciding whether you need to be on anticoagulant is the CHADS-Vasc-2 score. You can calculate yours here and it will explain what the results mean for you.
Re: My cardiologist doesn't seem to fully understand LAA isolation January 12, 2022 06:15PM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 12, 2022 11:28PM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 13, 2022 12:37AM |
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JakeL
A couple of questions about LAA isolation and Watchman:
1. Is a LAA isolation the same as a LAA ablation?
2. Do you need to, or should you, have a Watchman implanted if your LAA has been isolated?
3. I read that you need a successful TEE before a Watchman is implanted. Is this correct?
4. So if you fail the TEE after the LAA is isolated, you cannot have a Watchman implanted. Is this correct?
5. If you have had your LAA isolated and you cannot have a a Watchman implanted, is your risk of a stroke higher than if you did not have your LAA isolated in the first place? (most important question).
6. If you want to do the most to reduce the risk of a stroke you should isolate the LAA, implant a Watchman, and take 1/2 a dose of Eliquis for your lifetime. Is that correct?
7. Does Medicare pay for a Watchman if you are on Eliquis and do not have a high risk of bleeding?
Thanks,
Re: My cardiologist doesn't seem to fully understand LAA isolation January 13, 2022 05:26PM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 13, 2022 08:52PM |
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Re: My cardiologist doesn't seem to fully understand LAA isolation January 13, 2022 09:24PM |
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